Innovative approaches in Mexico and North East India health care system and their implications in other Ibero American countries

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B R A N D O N W E L C H , V I J A Y S W A M I # , I S T A P U L U # A N D Y A S H W A N T P A T H A K *

*

C O L L E G E O F P H A R M A C Y , U N I V E R S I T Y O F S O U T H F L O R I D A H E A L T H , 1 2 9 0 1 B R U C E B D O W N S B L V D , M D C 0 3 0 , T A M P A , F L

3 3 6 1 2 , T E L : 8 1 3 - 9 7 4 - 1 0 2 6 ,

# R E S E A R C H I N S T I T U T E F O R W O R L D A N C I E N T T R A D I T I O N S A N D C U L T U R A L H E R I T A G E ( R I W A T C H ) R O I N G , A R U N C A H A L P R A D E S H ,

I N D I A

E M A I L : Y P A T H A K 1 @ H E A L T H . U S F . E D U

Innovative approaches in Mexico and North East India health care system and their implications in

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Objectives

Review various innovative things happened in

Mexico and will look at its application in other Ibero

American countries which can replicate the

innovations.

Review the services and facilities provided by CIS

and its impact on various spheres of tribal life in NE

India such as education, agriculture, health care,

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Challenges of healthcare delivery In Mexico

Scarcity of human resources in health resulting in

many health issues.

Malnutrition, avitaminosis, anemia, dysentery ,

tubercolosis, malaria, and other infectious diseases.

Recent studies of 2009, have also shown an

encounter of a major outburst of swine flu that was

immersed amongst the population of Mexico

effecting close to half a percent of the population

(total population around 120 Million).

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Challenges of healthcare delivery In Mexico

With

Mexico’s poverty rate so high and low economical

class it has served as a sole purpose of the low academic

level of medical schools drawing out poorly skilled

doctors.

As a result, under these poor circumstances, it has

caused them to suffer profoundly from poor healthcare

delivery, leading to these defective health conditions.

In the North East India (mostly tribal area) especially in

Arunachal Pradesh RIWATCH has been very active in

health care and face similar challenges as faced in

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The Development of innovative

technology to improve on healthcare

Public healthcare spending being on the rise in Mexico has

allowed itself to create new innovative ways to tackle some of

these health issues.

Implementation of vaccination shots at your local health

facilities have been used to stimulate a better immune system

to fight off and prevent any of these pathogenic diseases.

Facilitating a more improved infrastructure, building new

clinics and specialized hospitals have been growing at a brisk

rate.

The medical education has also added some designing touches

by enlightening the doctors allowing them to be more

knowledgeable now granting them access to

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Healthcare in Mexico

Most Mexicans aren’t content with the

healthcare

system.

Dissatisfying waiting times

Lack of availability of medication

Lack of patient-consumer orientation

Limited access to services and conveniences

Poor wellness-orientation

All variables contribute to Mexico’s incompetent

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Northeast India

 Mostly inaccessible by any means of transportation from the rest of India.

 Northeast (NE) India is one of the most diverse geographical areas with > 3000 dialects of tribal people.

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Community Information Services: A Unique Tool to Enhance E-Governance in Tribal and Remote Rural areas of

Northeast India Using Modern Information Technology

 CIS are a boon to NE India providing interface between Government and citizens.

 Government have set up 30 CIS in pilot projects.

 By the end of 2015, planning to set up additional 457 CIS leaving a total of 487.

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Status of Community Information Centers in

the North East

No .

Name of the State

Total No’s of

CICs planned

Total No’s

of CIC set up

Present CIC

Status CSC

1. Assam 219 219 219

2. Arunachal Pradesh

85 85 85

3. Manipur 39 39 39

4. Meghalaya 39 39 39

5. Mizoram 36 36 36

6. Nagaland 52 52 52

7. Sikkim 45 45 45

8. Tripura 40 40 40

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S.No. States Total CSCs to be set up Roll out as on July 2011

1 Tripura 145 145

2 Assam 4375 3877

3 Meghalaya 225 188

4 Nagaland 220 199

5 Manipur 399 399

6 Sikkim 45 45

7 Mizoram 136 118

8 Arunachal Pradesh 200 187

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Status of Community Information Centers in

the North East

CIS provided the services and facilities which has

impact on various spheres of tribal life in NE India

such as

education,

agriculture,

health care,

employment,

public and policy information

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Healthcare Expenditure

The Mexican government spends only about

5.2% of its GDP (Gross domestic product) on

healthcare compared to an average spent in

other Ibero countries landing at 6.2%.

India spending only about 4.1% of its GDP on

healthcare.

2013 marked India having a low healthcare

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Infrastructure In Ibero American Countries

 Requirement of an expansion of overall physical infrastructure like buildings, equipment, transportation, auxiliary human resources, facilities, etc. has been rationalized for optimal use.

 Compared to other Ibero countries, Mexico has suffered in a low ratio of the amount of hospital beds to people in clinical facilities.

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Medical Education

 Currently Mexico has 38 certified medical schools growing at a brisk rate.

 Graduate capacity is approximately 21,000 students.

 Shortage of doctors by 2015 is supposed to be an estimated 63,000.

 Majority of physicians 60 and older; ranking the highest percentage nationwide of elderly physicians.

 At present 334 medical colleges serve in India(154 medical colleges in government sectors, remaining 180 in private sector).

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Conclusion

 Tremendous efforts have been made towards the reform of Mexico’s healthcare industry and other Ibero countries.

 Certain issues pertaining its healthcare still take a crippling toll on the population.

 North east of India has provided interesting solutions to health care and other problems of the remote areas by providing Community information centers in remote areas.

 Many healthcare problems are being resolved due to accessibility.

 These centers can be replicated in many other Ibero American

Countries where such problems and diversity of population exists.

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Future implications

Facilitating a more improved infrastructure,

building new clinical facilities and specialized

hospitals.

Increase attention to medical infrastructure

(setting up new medical colleges, as more land will

be required).

Increase amount of faculty in medical colleges (in

past has been a shortage).

Improve its alliances with

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Future implications

Improve more of its quality and cut cost in

healthcare.

Recruit more nurse practitioners who require less

training to supplement for the shortage of doctors

and reduce amount of wait time as well as pay.

Cross-train future and current doctors,

enlightening them on multiple specialties, to

reduce patients from traveling across the state to

see a specialists for a disease they may have

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References

 References

 "Doctor Shortage in New Mexico Expected to Worsen."

Http://www.modernhealthcare.com/article/20140112/INFO/3011 29996. Associated Press, 12 Jan. 2014

 "Mexico: A Statistical Evaluation of Government

Performance." Mexico: A Statistical Evaluation of Government Performance. N.p., n.d. Web. 27 Jan. 2014.

 "How Mexico's Health System Works - Technology & Science - CBC News." CBCnews. CBC/Radio Canada, 09 May 2009. Web. 27 Jan. 2014

 Vance, Erik. "Mexico Chalks up Success in Health-care

Reforms." Nature.com. Nature Publishing Group, 17 Aug. 2012. Web. 27 Jan. 2014.

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References

 Bhawan, Nirman. "Government of India Ministry of Health and Family Welfare." N.p., Dec. 2011. Web. Jan.-Feb. 2014

 Sanjib Baruah, India and its Northeast: A new politics of race, India International Center Quarterly, Vol. 32 (2& 3), 2005, pp. 165-76

 http://www.iitg.ernet.in/rcilts/phaseI/heirarchy.htm accessed on 07.13.2013.

 Model E-Villages In North East India: An ICT Project For Development In Remote Tribal Areas, April 2012, Researched and Documented by: One World Foundation India.

 Leveraging Information and Communication Technology for the Base of the Pyramid. Innovative business models in education, health, agricultural and Financial Services: A JOINT REPORT BY Hystra Hybrid Strategic consulting ASHOKA in collaboration with TNO, 2012

 Bhaskar Mazumder, PhD., Vijay Swami** M.S.W., Ista Pulu**, M.D (Gynecology) and Yashwant V Pathak#, PhD , Community Information Services: A Unique Tool to Enhance E-Governance in Tribal and Remote Rural areas of Northeast India Using Modern Information Technology , Innovationa and Technology, 16 (01) March 2014 In press

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